| NPI | 1942688106 |
|---|---|
| Former Name | JENNIFER A. KILDEA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00239700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05659200) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2017-09-19 |